Provider Demographics
NPI:1972951135
Name:HOBBS, JENNIFER L (CPHT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:L
Last Name:HOBBS
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1016 E ELM ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:76645-2640
Mailing Address - Country:US
Mailing Address - Phone:254-205-7200
Mailing Address - Fax:
Practice Address - Street 1:1016 E ELM ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:TX
Practice Address - Zip Code:76645-2640
Practice Address - Country:US
Practice Address - Phone:254-205-7200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-28
Last Update Date:2016-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119365183700000X
KYPT00150972183700000X
TX10102711183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX119365OtherTEXAS STATE BOARD OF PHARMACY
TX10102711OtherPHARMACY TECHNICIAN CERTIFICATION BOARD
KYPT00150972OtherKENTUCKY BOARD OF PHARMACY